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CMS Care Coordinator - Social Worker

Pay Grade: H

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Who we are. We protect lives. The Georgia Department of Public Health is the lead agency entrusted by the people of Georgia to proudly protect lives and promote healthy lifestyles in diverse communities statewide. We are committed to preventing disease, injury, and disability; promoting health and well-being; and preparing the State of Georgia for responding to disasters. 
  
What we offer. As a member of the Georgia Department of Public Health team, you will join a passionate group of individuals who are dedicated to making an impact. No matter your role, you will individually contribute to protecting the lives of all Georgians while receiving a wide range of benefits, so you can:


  • Make a Professional Impact – Build your career where it matters and protect lives in the community where you live, work, and play
  • Enjoy Workplace Flexibility – Experience flexibility in how you work so you can be your best self for you and Georgia Residents
  • Work with a Dynamic and Diverse Team– Collaborative and inclusive way of working where employees share ideas and leverage collective strengths 
  • Achieve Career Longevity – Countless opportunities for continuous learning/development that support a long-term career
  • Take Part in a Hands-on Working Culture – Unique culture of active engagement and problem-solving, no matter your role
  • Feel Pride in Where you Work – Be part of making an impact in public health alongside dedicated people just like you

Come join our team! As a Care Management Coordinator with North Central Health District’s Children’s Medical Services program you will join a dedicated group of public health professionals working to protect the health and well-being of communities across the state by supporting vital public health initiatives. This role offers the opportunity to make a meaningful impact, a great schedule, and a healthy work-life balance, allowing you to grow your career while maintaining time for what matters most to you.

Requirements

Under the supervision of the Registered Nurse Supervisor, the Care Management Coordinator provides comprehensive case management and care coordination services to families enrolled in CMS. Responsibilities include developing and maintaining individualized care plans, managing and updating medical records, and supporting clients through the transition from pediatric to adult care to ensure continuity of services.


Primary Duties & Responsibilities


  • Schedule enrollment visits, annual reviews, and six-month updates in accordance with program policies and family/client requests.
  • Maintain and update Outlook calendar with appointments, home visits, meetings, and related activities.
  • Travel within North Central Health District’s 13-county service area to complete CMS home visits.
  • Document all client and family encounters in M&M, including communications with internal staff, external vendors, medical providers, and community partners.
  • Provide care coordination in accordance with program policies, including serving as a liaison between families and providers/vendors and assisting with transitions from pediatric to adult care per CMS guidelines.
  • Complete, review, edit, and scan documentation related to enrollments, annual reviews, six-month updates, and care transitions.
  • Ensure care notes and plans are reviewed and signed by licensed/credentialed personnel to maintain Medicaid compliance.
  • Collaborate with licensed providers actively involved in care planning and oversight.
  • Complete and document prior authorizations in accordance with CMS policy and family requests.
  • Request, review, scan, and upload physician notes and medical documentation; update client records in M&M.
  • Communicate with providers to clarify diagnoses, obtain prescription instructions, prior authorizations, and other information necessary to ensure continuity of care.
  • Research and provide internal and external resources to families as needed.
  • Attend meetings, health fairs, workshops, conferences, and outreach events as requested.
  • Assist with preparation and support for outreach activities and community events.
  • Submit travel documentation for supervisory approval.
  • Comply with HIPAA and all CMS, state, district, and Department of Public Health policies.
  • Provide administrative and/or clinical support in authorized shelters during public health emergencies as directed by Emergency Preparedness.
  • Support clinic operations as needed, including patient check-in, processing demographic and lab documentation, and responding to calls and voicemails.
  • Perform additional duties as assigned by physician staff or leadership.

Qualifications

Bachelor's degree in a related field from an accredited college or university and three (3) years of experience in social service delivery or one (1) year of experience as the lower level Social Worker, NonLicensed 1 (HCP120) or position equivalent.


The DPH Commissioner and agency leaders encourage all employees to engage in regular wellness activities and to make lifestyle choices that promote health and well-being. 

The use of physical activity breaks during the workday is authorized to support this philosophy and help employees meet their wellness goals. A maximum of 30 minutes of physical activity may be allocated per workday, typically in the form of two 15-minute breaks or one 30-minute break.

Employment Information

State of Georgia employees are subject to the rules of the State Personnel Board regarding salary.

DPH accepts educational credentials recognized by the Council for Higher Education Accreditation (CHEA) and/or the US Department of Education (DOE) as valid. DPH will contact educational institutions to verify degrees, diplomas, licensures, and other relevant credentials.

The candidate selected for this position may be subject to pre-employment drug screening and a criminal background check.

Relocation assistance is not provided.

In the event of an identified emergency, you may be required, as a term and condition of DPH employment, to assist in meeting the emergency responsibilities of the department. 

ADA Statement

DPH is committed to providing access and reasonable accommodation in its services, programs, activities, and employment for individuals with disabilities. To request a reasonable accommodation for the application or interview process, email DPH-HR@dph.ga.gov. 

DPH is an Equal Opportunity Employer

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Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not receive an interview.  DPH will contact selected applicants to proceed with the application process. Applicants who are not selected will not receive notification.

This position is subject to close at any time once a satisfactory applicant pool has been identified.

BENEFITS

Standard Benefits for Full-Time Salaried Employees
 In addition to a competitive salary, we offer a generous benefits package that includes a flexible schedule, training opportunities, health insurance, employee retirement plan (ERS GSEPS), deferred compensation, 13 paid holidays, vacation and sick leave, paid parental leave, dental, vision, long-term care, and life insurance.


 Standard Benefits for Part-Time Employees

Part-time employees are eligible to participate in the Georgia Defined Contribution Plan and receive paid parental leave.

Date Posted
03/13/2026
Job Reference
2026-00163
Organization
District 5-2 County Position, District 5-2 CMS
Location
Macon - District 5-2 CMS, GA
Category
Mental Health/Social Services
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